Is There a Link Between Type 1 Diabetes and Celiac Disease?

Posted on February 10, 2016 by Joann Ariola

It is not unusual for people with Type 1 diabetes to also have celiac disease. Type 1diabetes and celiac disease share several common traits. Both diseases are triggered by genetic and environmental factors and they increase the risk of developing associated autoimmune diseases.

Type 1 diabetes or insulin-dependent diabetes causes the body to produce insufficient amounts of insulin needed to break down glucose

Celiac disease, or gluten-sensitive enteropathy, is a disease in which the body launches an immune reaction when a person consumes gluten, a type of protein found in wheat, rye and barley.

Most patients with both diseases tend to develop asymptomatic celiac disease, but are unaware they are experiencing its symptoms. This is because they are confusing symptoms with diabetes with those of asymptomatic celiac disease.

Symptoms may include, but are not limited to: Bloating

Bloating
Diarrhea
Weight loss
Fatigue
Anemia
Irritability
Depression

As a diabetic with celiac disease, you may think that your world has come to an end and you will not be able to eat anything since both diseases require adherence to a strict diet, but that’s not the case. There are tips you can follow that will help you self-manage both diseases and maintain overall health:

Gluten-free foods – Health food stores and most main stream grocery stores now carry gluten-free products. Rice pasta can be used as a substitute for pasta.
Follow a whole-food meal plan – A gluten free dinner consisting of a serving of protein (broiled or baked), steamed vegetables, a small serving of brown rice, and a small piece of fruit for dessert can small piece of fruit for dessert.
Watch your blood sugar levels – A diagnosis of celiac disease necessitates what may be a dramatic change in your daily sources of carbohydrates. You may experience variations in your usual blood-sugar patterns, so you will want to be vigilant in testing.
Track your calories and carbs – Some gluten-free foods may be calorie and carbohydrate dense. You cannot assume that a sandwich made with gluten-free bread has the same amount of carbohydrates as one made with regular bread.
Check nutrition labels of processed foods – All food labels are required to state if the food contains wheat, but keep in mind that wheat-free doesn’t mean gluten-free.
Meet with a registered dietician – It can be complicated having two serious diseases that come with different dietary restrictions.

If you or someone you know has celiac disease and type 1 diabetes and would like to speak with a registered dietitian to help self-manage your disease, call Jamaica Hospital Medical Center at 718-206-7001 for an appointment.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Take a Break

Posted on January 29, 2016 by Joann Ariola

Studies have shown that taking regular breaks during the work day can improve productivity and mental acuity, reduce fatigue, relieve joint or muscle pain, and increase overall alertness.

Chronic stress from over working can put a strain on your body and put you at risk for poor health. Taking a break can give your body the chance to turn off the stress so that you can recuperate and repair.

Research has shown that people on a break feel healthier, have less physical complaints and could have a reduction in cholesterol levels on their return.

Some other benefits of taking a break or vacation are:

Vitamin D – The Sun is rich in Vitamin D which is essential for maintaining healthy bones and keeping the immune systems and nervous system functioning normally.

Relaxing – Taking time to relax on a break from working has powerful benefits for adults. It can be as important as sleep.

Break time shrinks stress – Time away from work helps shrink stress and anxiety while boosting mental and physical health.

Keep in mind that regularly scheduled breaks should be approved by your supervisor.

Benefit of the Annual Physical

Posted on January 29, 2016 by Joann Ariola

The greatest benefit of an annual physical is knowledge for both you and your physician. An annual visit establishes a baseline for your personal health. Armed with this information, your doctor can detect unhealthy trends before they become risk factors.

Nearly one third of the population with a chronic disease is unaware that they have the disease. According to the Partnership to Fight Chronic Disease, as many as 100,000 lives could be saved each year by increasing preventive care services.

Health screenings, such as blood glucose and blood pressure tests can easily detect the two most chronic conditions, diabetes and hypertension before they cause serious health issues. The Centers for Disease Control cites that seven out of every 10 deaths are caused by chronic disease. Proper management of these conditions can prevent unnecessary hospitalization.

In order to get the most out of your annual physical, take a moment to prepare:

Make a list of your health concerns
Make a list of all the medications you are taking
Get a copy of your medical records and your family medical history

Dozens of Patient Care Specialists, on staff at Flushing Hospital Medical Center, are ready to provide you with your annual check-up.

Flushing Hospital is a certified Patient Centered Medical Home (PCMH) in its Ambulatory Care Center. The Center offers more than 50 outpatient general and specialty services for children adolescents and adults.

Flushing Hospital’s ambulatory care services accepts most major insurances, is centrally located and has convenient patient hours. Call 718-670-5486 to schedule an appointment.

Cervical Health Awareness Month- The Importance of Regular Cervical Screenings

Posted on January 27, 2016 by Xavia Malcolm

MD001276 January has been designated as Cervical Health Awareness Month by the National Cervical Cancer Coalition and the American Social Health Association. This initiative helps raise awareness and encourages women to receive regular screenings for cervical cancer and human papillomavirus (HPV).

HPV is a major cause of cervical cancer which is one of the most common cancers found in women. However early detection can lessen the severity of both diseases and prevent the development of abnormal or cancerous cells.

It is recommended that women receive regular screenings to check the health of their cervixes. The frequency of screenings varies by age and the following time period is as recommended by The American Cancer Society (www.cancer.org):

All women should begin cervical cancer screening at age 21.
Women between the ages of 21 and 29 should have a Pap test every 3 years. They should not be tested for HPV unless it is needed after an abnormal Pap test result.
Women between the ages of 30 and 65 should have both a Pap test and an HPV test every 5 years. This is the preferred approach, but it is also OK to have a Pap test alone every 3 years.
Women over age 65 who have had regular screenings with normal results should not be screened for cervical cancer. Women who have been diagnosed with cervical pre-cancer should continue to be screened.
Women who have had their uterus and cervix removed in a hysterectomy and have no history of cervical cancer or pre-cancer should not be screened.

In addition to receiving screenings it is strongly recommended by the Centers for Disease Control and Prevention that women and men receive HPV vaccinations to stop the spread of the virus.

Please speak with your doctor as soon as possible about steps you can take to maintain your cervical health and remember, prevention is better than cure.

Should You Breast Feed When You Are Sick?

Posted on January 22, 2016 by Michael Hinck

There are many benefits to breast feeding, but is it harmful to your child’s health when you are sick with a cold or virus?

Even when you are sick, your baby will almost always benefit from breastfeeding. In most instances, viruses are most likely transmitted before symptoms even occur. Breast feeding can actually help protect your baby from the virus since your breast milk produces the necessary antibodies to stave off the illness. In fact, even if your baby gets sick, it is usually a much milder case than anyone else in the house.

It is not a good idea for you to stop breast feeding abruptly because your breasts can become engorged, which can lead to painful inflammation, known as mastitis. Instead, while you are sick, ask a family member to bring the baby to you to nurse and take him way when you’re done so you can rest. Also, drink plenty of fluids when you are sick so you don’t become dehydrated and your milk supply does not decrease.

Some moms may also be concerned about taking medications while breastfeeding, but with few exceptions, over the counter medications are just fine. Some suggestions include:
• Avoid using extra or maximum strength pain medication or fever reducers.

• Medications that contain ibuprofen are recommended over those that contain acetaminophen.

• Try to use single ingredient, short acting forms of cold, cough, and allergy medications.

• Avoid taking aspirin as there is a small risk of infants developing Reye’s syndrome.

It is important however to carefully read medication labels and check with your physician before taking any drug while you are nursing. If you do not have a doctor, contact Flushing Hospital’s Women’s Health Center at 718-670-8994 to make an appointment.

Are post-menopausal women at risk for developing hypertension?

Posted on January 12, 2016 by Xavia Malcolm

Women expect their bodies to undergo several changes during menopause but it is also important for them to know about one of the major changes they may encounter post -menopause. This is a change in their cardiovascular health. As the production of the hormone estrogen decreases, their risk for developing diseases such as hypertension can increase.

Estrogen plays a vital role in maintaining cardiovascular health. It helps with keeping blood vessels dilated, reducing sensitivity to sodium, producing collagen which keeps the walls of blood vessels flexible and reducing levels of endothelin (peptides that constrict blood vessels)- all of which are essential factors in normalizing blood pressure.

A declination in estrogen levels during menopause can also contribute to weight gain. Being overweight or obese increases the probability of developing hypertension.

There are preventative measures post-menopausal women can take to reduce their risk of getting hypertension. Living a healthy lifestyle, which includes exercising regularly and eating a balanced has been effective in controlling and lowering blood pressure in most women.

Are You Experiencing The Holiday Blues?

Posted on December 30, 2015 by Flushing Hospital

The holiday season may be a time of happiness for many but for others it can also be the time of year that they are likely to feel depressed.

Financial stress, increased alcohol or food consumption, Seasonal Affective Disorder and loneliness are common contributors to depression during the holidays.

While the source of depression may vary from person to person, there are chronic behaviors and health problems that are widely recognized as symptoms of the disorder. Some of these include:

Fatigue
Insomnia
Sleeping excessively
Loss of interest in activities or hobbies that were once enjoyable
Loss of appetite
Difficulty concentrating
Feelings of hopelessness or worthlessness

People who experience bouts of depression during the holidays can reduce these symptoms by:

Asking for help when holiday stressors become overwhelming
Moderating alcohol consumption
Spending time with loved ones
Exercising
Eating a healthy and balanced diet
Getting enough sleep
Practicing relaxation techniques such as yoga or meditation

If symptoms of depression persist or progress into self-harming thoughts, please seek the help of a mental health professional immediately. It is important to remember there is no shame in receiving assistance from mental health professionals; they will help you to identify the source of your depression and offer several options for treatment.

To schedule an appointment with a mental health professional at Flushing Hospital Medical Center, please call 718-670-5316 or 718-670-5562

Waist Training – Is It Safe?

Posted on December 29, 2015 by Flushing Hospital

The latest trend to achieve a slimmer waist is inspired by a practice that is over 500 years old.

Waist training is a practice that requires women to wear a corset, similar to the ones worn in the Victorian era, for extended periods of time in an attempt to achieve an hour glass figure. Endorsed by celebrities, waist training is popping up all over social media, with many women trying to reduce or contour their midsection, but does it work?

Proponents of waist training believe that wearing a corset for hours at a time will permanently mold their waist into a desired, slimmer shape. Medical experts disagree, however, stating that after the constricting garment is removed, your body will eventually return to its natural form. Believers of waist training also say that garment increases sweating, which results in weight loss, but doctors claim it is not possible to perspire so much that it will shed inches off of your waist line.

Regardless of whether or not waist training is effective, there is no debate that it can cause serious damage to a woman’s health. Wearing these cinching devices can move or squeeze internal organs, causing serious damage, including compressed lungs, crushed or displaced organs, or fractured ribs. These problems can result in difficulty breathing, digestive issues, and general pain.

While waist training is certainly appealing because it seems like a quick fix to shrink your waist, doctors encourage maintaining a healthy diet and incorporating a fitness regime focused on strengthening your core as a much safer and healthier alternative.

How long can viruses live outside the body?

Posted on December 18, 2015 by Flushing Hospital

517019433 virus sneeze We have all seen the news reports about the tiny, disgusting germs that are on the surfaces we all encounter every day in our homes and places of work. With cold and flu season upon us, preparations are now being made by many to prevent transmission of viruses, but before you go through drastic measures, there are some important facts about viruses that you should know, such as how long do viruses live on our phones, doorknobs, and keyboards?

There is not one answer to this question. The life of a virus (technically, viruses are not alive) depends on what type of virus it is, the conditions of the environment it is in, as well as the type of surface it is on.

Cold viruses have been shown to survive on indoor surfaces for approximately seven days. Flu viruses, however, are active for only 24 hours.

All viruses have the potential to live on hard surfaces, such as metal and plastic, longer than on fabrics and other soft surfaces. In fact, infectious flu viruses can survive on tissues for only 15 minutes. Viruses tend to also live longer in areas with lower temperatures, low humidity, and low sunlight.

How long these germs are actually capable of infecting you is a different story. In general, viruses are not likely to be a danger on surfaces very long. In fact, while cold viruses can live for several days, their ability to cause infection decreases after approximately 24 hours, and after only five minutes, the amount of flu virus on hands fall to low levels, making transmission much less likely.

The best defense against active viruses remains thorough hand washing. In addition, wiping down surfaces with anti-bacterial or alcohol-based cleaners will help kill viruses and decrease the chances of transmission.

Do The Holidays Stress You Out? Follow These Tips

Posted on December 10, 2015 by Flushing Hospital

Holiday stress 518171227 The holidays are supposed to be about joy and merriment, but for many they can become a very stressful time of year.

The average American spends 42 hours a year on holiday activities including, shopping, wrapping presents, decorating, attending holiday parties, and traveling from place to place. Often, these extra activities get squeezed into our already busy schedules.

Our schedules are not the only thing being squeezed during the holidays; so too are our wallets. The holidays promote gift giving, but to what extent? Buying something for everyone on your list can be a very stressful situation, especially when you are on a budget.

To help you enjoy avoid holiday stress and enjoy this very special time of year, try following these simple tips:

• Take Calm-Down Breaks. Soon after you awake, close your eyes, take several deep breaths and meditate or just relax. Quieting down your mind before you begin your day can help it get off to a great start and things will flow for you.

• Create the Holiday You Want – When the holidays come around, you may find yourself getting pulled in many different directions. Don’t give in to outside pressures. Decide how do you want to spend your time and resources. Consider what is most important to you and what memories you want to create.

• Stick to a Budget – Unfortunately, so many people cause their own stress by overspending during the holidays. Try to start saving for the upcoming holiday season early in the year. Sit down and look to see what you can really afford before you start shopping.

• Be Generous With Your Heart – One of the best ways to stay calm, content and cheerful this time of year is to act generously with your loved ones, co-workers and friends. This doesn’t mean you have to spend a lot of money though.

• Get Moving – One of the best ways to overcome stress during the holidays or any other time is to exercise regularly. Physical activity not only boosts your fitness and energy levels but can also elevate your mood.

• Eat Healthy- Inevitably, at this time of year, you’ll be constantly tempted with sweet, empty-calorie treats. But to be your most energetic, focused and happy self, it’s best to avoid the sugary snacks and eat healthier options.

Hopefully, by following these recommendations, your holidays can be calm, relaxing and fun.